WALGREEN CO
Pharmacy · LAHAINA, HI
Organization Active NPI 1518195429
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 169 | 590 | $50,356 | $48,556 | $48,556 |
| 2023 | 359 | 1,573 | $61,060 | $54,212 | $54,212 |
| 2022 | 676 | 2,131 | $102,943 | $66,788 | $66,788 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 141 | $32 | $32 |
| 90480 | Admn sarscov2 vacc 1 dose | 127 | $38 | $38 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 127 | $154 | $154 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $80 | $80 |
| 90653 | Influenza vaccine, inactivated | 60 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | $288 | $288 |
| G0009 | Administration of pneumococcal vaccine | 27 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY 774 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.